Jennifer Rose Mira (NPI# 1346707981, PAC ID# 2163763061) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1346707981 |
| PAC ID by PECOS | 2163763061 |
| Professional Enrollment ID | I20190402001778 |
| Full Name | Jennifer Rose Mira |
| Organization Legal Name | ACCESS MEDICAL CLINIC ARKANSAS LLC |
| Address |
16723 E Hwy 62 Garfield AR 72732-7007 |
| Phone Number | 8702197706 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5890077093 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040010 | MERCY HOSPITAL NORTHWEST ARKANSAS |
| Address | Phone | Organization |
|---|---|---|
| 16723 E Hwy 62, Garfield, AR 72732-7007 | 8702197706 | ACCESS MEDICAL CLINIC ARKANSAS LLC |
| Organization Legal Name | ACCESS MEDICAL CLINIC ARKANSAS LLC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charity Angela Lane | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 104 W State St, Caraway, AR 72419-8553 |
| Anthony Vincent Ciaramitaro | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 871 W Main St, Booneville, AR 72927-3420 |
| Veronica Newburn | Physician Assistant | Access Medical Clinic Arkansas LLC | 405 W 16th St, Hope, AR 71801-7104 |
| Megan Andres | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 1016 N Fourche Ave, Perryville, AR 72126-8545 |
| Emile T Snyder | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 942 Hwy 65 N, Marshall, AR 72650-7772 |
| Rochelle Lee Kelly | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 106 Hwy 62 W, Amc Ar Salem, Salem, AR 72576-8059 |
| Stephanie Marie Thompson | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 1713 W Main St, Heber Springs, AR 72543-2835 |
| Terra Nicole Mcguire | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 810 S Rock St, Sheridan, AR 72150-7066 |
| Priscilla Jo Johnston | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 806 E Main St, Amc Flippin, Flippin, AR 72634-8668 |
| Lisa Robbins-spann | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 942 Hwy 65 N, Marshall, AR 72650-7772 |
| Street Address |
16723 E HWY 62 |
| City | GARFIELD |
| State | AR |
| Zip | 72732-7007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Marie Gates | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 16723 E Hwy 62, Garfield, AR 72732-7007 |
| City | GARFIELD |
| Zip Code | 72732 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GARFIELD + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.